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PHILIP S SHORE MD
NPI 1295750529
Family Medicine in Northridge, CA

Active since July 13, 2006PECOS Enrolled
18546 ROSCOE BLVD, SUITE 230, NORTHRIDGE, CA 91324(818) 886-1100(818) 886-7501 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip S Shore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP S SHORE MD (NPI 1295750529) is an individual family medicine provider in Northridge, California, licensed in California (G071824) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295750529
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP S SHORECredential: MD
Location Address18546 ROSCOE BLVD, SUITE 230Northridge, CA 91324-4663
Mailing Address18546 Roscoe Blvd, Suite 230Northridge, CA 91324-4663 · (818) 886-1100 · Fax (818) 886-7501
Phone(818) 886-1100
Fax(818) 886-7501
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295750529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G071824
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18546 ROSCOE BLVD, Northridge, CA 91324
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Other Identifiers 4

Medicare UPINW17192CA
Medicare ID-Type UnspecifiedW16958CA
Other00G718240CA · Blue Shield
Medicare ID-Type UnspecifiedWG71824CCA · Medicare Ppin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip S Shore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN GRANT HAWKINS MD FCCP
Internal Medicine (Pulmonary Disease)
18546 ROSCOE BLVD, #308
NORTHRIDGE, CA 91324
Los Angeles County (818) 349-2931
ALTA-GRACE L TAN, PSY D PSYCHOLOGICAL SERVICES, INC
Psychologist
18546 ROSCOE BLVD, STE 210
NORTHRIDGE, CA 91324
Los Angeles County (818) 886-5628
KIDNEY DIALYSIS CENTER OF NORTHRIDGE,LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
18546 ROSCOE BLVD, SUITE # 108
NORTHRIDGE, CA 91324
Los Angeles County (818) 886-3771
MICHAEL W. BARSOM, MD, AMC
Psychiatry & Neurology (Psychiatry)
18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324
Los Angeles County (818) 886-5628
DIANA K SHORE
Nutritionist (Nutrition, Education)
18546 ROSCOE BLVD, SUITE 230
NORTHRIDGE, CA 91324
Los Angeles County (818) 886-1100
MINAS KOCHUMIAN, MD, A MEDICAL CORPORATION
Non-Pharmacy Dispensing Site
18546 ROSCOE BLVD, 312
NORTHRIDGE, CA 91324
Los Angeles County (818) 709-5154
EHAB S YACOUB M.D.
Psychiatry & Neurology (Psychiatry)
18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324
Los Angeles County (818) 886-5628
NINA SUSAN ROSENFELD MFT
Marriage & Family Therapist
18546 ROSCOE BLVD, SUITE 210
NORTHRIDGE, CA 91324
Los Angeles County (818) 886-5685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Shore's NPI number?

The NPI number for Philip Shore is 1295750529. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Philip Shore located?

Philip Shore practices at 18546 Roscoe Blvd Suite 230, Northridge, CA 91324. The listed phone number is (818) 886-1100.

What is Philip Shore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Shore enrolled in Medicare?

Yes. Philip Shore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Shore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.